Danielle R Sutter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1118 14TH Ave
Longview, WA 98632-3017

Phone

(360) 636-4360

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Longview, WA
  • NPI 1194934091
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316079551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEMORY LN",
            "city": "SILVERLAKE",
            "state": "WA",
            "postal_code": "986459723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323017",
            "telephone_number": "360-636-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan C. Sun, M.D.
• Sunshine Psychological Services
• Alicia D Susilla, BS
• Douglas E Sutherland, M.D.
• Suzan Sutherland, PHARMD
• Kimberly Sutton
• Suzanne R Megenity DDS PS
• Darcee Svir
• Arianne Swapp
• Ashley A Swofford, MSW, LICSWA

• Physical Therapy Assistant in Longview, WA
• Providers in Longview, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.